<?php include('_tpl_header.php'); ?>
<div class="box">
  <div class="left">
    <div class="leftad">
       <?php include('_tpl_mod_hot.php'); ?>
    </div>
  </div>
  <div class="right">
<div><img src="/data/images/righttop01.gif" width="724" height="18" /></div>
<div class="box2">
  <table width="100%" border="0" align="center" cellpadding="0" cellspacing="5">
  <form action="/api/member_apply" method="POST">
    <tr>
      <td height="44" colspan="2" class="line01"><img src="/data/images/icon01.gif" width="14" height="16" align="absmiddle" /> &nbsp;<strong><?php echo $L['pApplyTitle'] ?></strong></td>
    </tr>
    <tr>
      <td height="40" align="left" colspan="2" style="padding-left:100px;padding-right:100px;"><b><?php echo $L['pApplyWarning']; ?></b></td>
    </tr>
    <tr>
      <td width="96" height="35" align="right"><?php echo $L['pApplyIptName']; ?><br /></td>
      <td width="404"><input name="name" type="text" class="input01" id="iptName" /> <span class="red"><b>*</b></span> <span id='alert_name' class="red"><?php echo $e=='nmame' ? $L['apply_uname']:$L['pApplyRuleName']; ?></span></td>
    </tr>
    <tr>
      <td height="35" align="right"><?php echo $L['pApplyIptCompany']; ?></td>
      <td><input name="company" type="text" class="input01" id="iptCompany" /> <span class="red"><b>*</b></span> <span id='alert_company' class="red"><?php echo $e=='company' ? $L['apply_company']:$L['pApplyRuleCompany']; ?></span></td>
    </tr>
    <tr>
      <td height="35" align="right"><?php echo $L['pApplyIptEmail']; ?></td>
      <td><input name="email" type="text" class="input01" id="iptEmail" /> <span class="red"><b>*</b></span> <span id='alert_email' class="red"><?php echo $e=='email' ? $L['apply_email']:$L['pApplyRuleEmail']; ?></span></td>
    </tr>
    <tr>
      <td height="35" align="right"><?php echo $L['pApplyIptPhone']; ?></td>
      <td><input name="phone" type="text" class="input01" id="iptPhone" /> <span id='alert_phone' class="red"><?php echo $e=='mob' ? $L['apply_mob']:$L['pApplyRuleMobile']; ?></span></td>
    </tr>
    <tr>
      <td height="35" align="right"><?php echo $L['pApplyIptFax']; ?></td>
      <td><input name="fax" type="text" class="input01" id="iptFax" /> <span id='alert_fax' class="red"><?php echo $e=='fax' ? $L['apply_fax']:$L['pApplyRuleFax']; ?></span></td>
    </tr>
    <tr>
      <td height="35" align="right"><?php echo $L['pApplyIptMessage']; ?></td>
      <td><textarea name="message" id="iptMessage" class="input01"></textarea></td>
    </tr>
    <tr>
      <td height="35" align="right"><?php echo $L['pApplyIptVcode']; ?></td>
      <td><input name="vcode" type="text" class="input01" id="iptVcode" /> <a src="#" onclick="return false;" id="img_vcode"><img src="/vcode" align="absmiddle" />　<a href="#" id="aReVcode" class="black"><?php echo $L['gLink_ReVcode']; ?></a> <span id='alert_vcode' class="red"><?php if($e=='vcode'){echo $L['apply_vcode'];} ?></span></td>
    </tr>
    <!--
    <tr>
      <td height="35" align="right"><form id="form2" name="form2" method="post" action="">
        <input type="checkbox" name="checkbox" id="checkbox" />
      </form></td>
      <td>I have Read and Accept the membership<br />
        <strong class="red">Terms and Conditions</strong><br /></td>
    </tr>
    -->
    <tr>
      <td height="55">&nbsp;</td>
      <td><input type="submit" value="<?php echo $L['pApplyBtnSubmit'] ?>"/></td>
      <!--<td><a id="btnApply" href="javascript:submit();" class="button01"><?php echo $L['pApplyBtnSubmit'] ?></a></td>-->
    </tr>
    </form>
  </table>
  <table width="100%" border="0" align="center" cellpadding="0" cellspacing="5">
  <tr><td class="line01" height="44" colspan="2"><img src="/data/images/icon01.gif" width="14" height="16" align="absmiddle" /> &nbsp;<strong><?php echo $L['pLoginNotice'] ?></strong></td></tr>
  <tr>
  <td valign="top" style="padding:10px"><?php echo $notice['notice']; ?></td>
  <td width="10%" style="padding:10px"><img src="/data/notice.jpg?<?php echo time(); ?>"/></td>
  </tr>
  </table>
  <div class="clear"></div>
</div>
<div><img src="/data/images/rightbottom01.gif" width="724" height="13" /></div>    
</div>
<div class="clear"></div>
<div><img src="/data/images/bottom.gif" width="1001" height="19" /></div>
</div>
<?php include('_tpl_footer.php'); ?>